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Modified frontalis sling procedure with lid crease formation.
Maryam Aletaha1, Hossein Salour, Abbas Bagheri
1Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Ophthalmic & Vision Research
|August 15, 2013
Summary
This modified frontalis sling procedure effectively corrects congenital ptosis with poor levator function. The technique offers good cosmetic results and a low reoperation rate.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Congenital ptosis with poor levator muscle function presents a surgical challenge.
- Traditional surgical approaches may have limitations in achieving optimal aesthetic and functional outcomes.
Purpose of the Study:
- To evaluate the efficacy of a modified frontalis sling procedure using Mersilene mesh.
- To assess the correction of upper eyelid ptosis in patients with compromised levator muscle function.
Main Methods:
- An interventional case series involving 10 patients (15 eyelids) with congenital ptosis and poor levator function.
- Subjects underwent a modified frontalis sling procedure.
- Key outcome measures included lid crease height and position.
Main Results:
- Surgery was performed on 15 eyelids across 10 patients (7 males, 3 females).
- After a mean follow-up of 10.2 months, all cases achieved symmetrical lid crease and contour.
- Significant improvements were observed in the upper eyelid margin to corneal reflex distance and lid fissure width.
Conclusions:
- The modified frontalis sling procedure is a viable alternative to conventional surgeries for ptosis correction.
- This technique demonstrates favorable cosmetic outcomes and a low incidence of reoperations.
